Active NPI
Yun Hee Jang
- Pharmacist
- MC Lean, VA
National Provider Identifier
1639736390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202217048
- Practice address
- 8305 Greensboro Dr
MC Lean, VA 22102-3593 - Phone
- (267) 234-2500
- NPI assigned
- May 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | |||
| Pharmacist | 183500000X | 0202217048 | VA | Primary |
Addresses
Primary practice location
8305 Greensboro Dr
MC Lean, VA 22102-3593
Mailing address
8305 Greensboro Dr
MC Lean, VA 22102-3593
Phone (267) 234-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202217048 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1639736390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8305 GREENSBORO DR",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023593",
"telephone_number": "267-234-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8305 GREENSBORO DR",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023593",
"telephone_number": "267-234-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "YUN HEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202217048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.